|
Hydrocortisone in ns IV syringe 1 mg/ml (neo/ped) - cnr
|
$23.67 |
$23.67 |
$23.67 |
$63.24
|
|
Hydromorphone 0.2 mg/ml in 0.9% nacl IV pca opioid naive - 4 hr dose limit (wrapper)
|
$178.72 |
$178.72 |
$178.72 |
$47.18
|
|
Hydrxycorticsterds 17- (17-ohcs)
|
$21.71 |
$21.71 |
$21.71 |
$86.45
|
|
#hypersens-actinomyces ab
|
$34.78 |
$34.78 |
$34.78 |
$32.76
|
|
Hysterosalpingography s&i
|
$222.78 |
$222.78 |
$222.78 |
$555.39
|
|
Iaadi respiratory synctial virus
|
$12.22 |
$12.22 |
$12.22 |
$46.02
|
|
Ia infect ag ab qual/semiquant sgl step
|
$8.46 |
$8.46 |
$8.46 |
$48.57
|
|
Ibutilide fumarate 0.1 mg/ml intravenous solution
|
$258.79 |
$258.79 |
$258.79 |
$614.95
|
|
Icatibant injection
|
$2,884.86 |
$2,884.86 |
$2,884.86 |
$2,196.00
|
|
Icd crtd cobalt hf MRI is1 df1
|
$38,258.00 |
$38,258.00 |
$38,258.00 |
$44,003.25
|
|
Idh1 common variants
|
$90.71 |
$90.71 |
$90.71 |
$406.90
|
|
Idh2 common variants
|
$139.12 |
$139.12 |
$139.12 |
$463.45
|
|
Ifnl3 gene
|
$34.31 |
$34.31 |
$34.31 |
$90.53
|
|
Ifosfamide 1 gram intravenous solution
|
$38.28 |
$38.28 |
$38.28 |
$185.67
|
|
Igh gene rearrang dir probe
|
$211.50 |
$211.50 |
$211.50 |
$94.60
|
|
Ihc/icc per specimen each additional single antibody stain
|
$31.49 |
$31.49 |
$31.49 |
$187.20
|
|
Ihc/icc per specimen each multiplex antibody stain
|
$342.16 |
$342.16 |
$342.16 |
$339.73
|
|
Ikbkap gene
|
$18.33 |
$18.33 |
$18.33 |
$176.15
|
|
Iliac/fem angio cath insert
|
$2,984.50 |
$2,984.50 |
$2,984.50 |
$2,070.72
|
|
Immune complex assay
|
$12.69 |
$12.69 |
$12.69 |
$89.25
|
|
Immune globulin, gamma (igg) (10 %)-gly-iga over 50 mcg/ml injection solution
|
$73.42 |
$73.42 |
$73.42 |
$2,621.62
|
|
Immune globulin, gamma (igg) 10 gram-gly-gluc-iga 0 to 50 mcg/ml IV solution
|
$255.87 |
$255.87 |
$255.87 |
$107.10
|
|
Immunoassay tumor antigen quantitative ca 125
|
$57.34 |
$57.34 |
$57.34 |
$122.50
|
|
Immunoassay tumor antigen quantitative ca 19-9
|
$21.62 |
$21.62 |
$21.62 |
$117.00
|
|
Immunoassay tumor qual
|
$12.22 |
$12.22 |
$12.22 |
$56.80
|
|
Immunodiff gel qual ea antigen/ab
|
$19.74 |
$19.74 |
$19.74 |
$58.25
|
|
Immunodiffusion nes
|
$7.34 |
$7.34 |
$7.34 |
$63.57
|
|
Immunofixation electrophoresis serum
|
$55.07 |
$55.07 |
$55.07 |
$133.38
|
|
Immunofluorescence per specimen initial single antibody stain
|
$70.50 |
$70.50 |
$70.50 |
$288.00
|
|
Immunoglobulin assay
|
$32.05 |
$32.05 |
$32.05 |
$74.15
|
|
Infect ag eia influenza a or b ea
|
$14.10 |
$14.10 |
$14.10 |
$64.00
|
|
Infect ag ia direct hiv-1 antgn
|
$15.51 |
$15.51 |
$15.51 |
$95.55
|
|
Infect ag ia optc obs chlamydia trach
|
$16.45 |
$16.45 |
$16.45 |
$71.20
|
|
Infect ag ia optc obs influenza
|
$7.99 |
$7.99 |
$7.99 |
$65.58
|
|
Infect ag if hep delta agent
|
$56.87 |
$56.87 |
$56.87 |
$125.97
|
|
Infect ag if influenza a
|
$15.04 |
$15.04 |
$15.04 |
$51.20
|
|
Infect ag if legionella pneumophila
|
$7.52 |
$7.52 |
$7.52 |
$85.15
|
|
Infect ag if nos ea
|
$55.93 |
$55.93 |
$55.93 |
$66.40
|
|
Infect ag if varicella zoster
|
$22.00 |
$22.00 |
$22.00 |
$68.25
|
|
Infect ag na hpv high-risk types
|
$36.66 |
$36.66 |
$36.66 |
$147.00
|
|
Infect ag na influenza r/amp 1st 2 types
|
$109.51 |
$109.51 |
$109.51 |
$248.80
|
|
Infect ag na resp virus 12-25 targets
|
$435.22 |
$435.22 |
$435.22 |
$878.20
|
|
Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin
|
$25.85 |
$25.85 |
$25.85 |
$76.00
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptococcus neoformans
|
$9.91 |
$9.91 |
$9.91 |
$74.10
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptosporidium
|
$36.19 |
$36.19 |
$36.19 |
$76.00
|
|
Infectious agent antigen immunoassay ql/sq multi step giardia
|
$36.19 |
$36.19 |
$36.19 |
$73.45
|
|
Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool
|
$20.56 |
$20.56 |
$20.56 |
$96.00
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn
|
$22.09 |
$22.09 |
$22.09 |
$75.27
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization
|
$8.00 |
$8.00 |
$8.00 |
$60.95
|
|
Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies
|
$22.56 |
$22.56 |
$22.56 |
$107.90
|
|
Infectious agent antigen immunoassay ql/sq multi step legionella urine
|
$65.32 |
$65.32 |
$65.32 |
$132.60
|
|
Infectious agent antigen immunoassay ql/sq multi step rotavirus
|
$45.12 |
$45.12 |
$45.12 |
$98.40
|
|
Infectious agent nucleic acid amplified probe
|
$159.80 |
$159.80 |
$159.80 |
$276.90
|
|
Infectious agent nucleic acid amplified probe chlamydia trachomatis
|
$36.66 |
$36.66 |
$36.66 |
$144.00
|
|
Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s)
|
$45.12 |
$45.12 |
$45.12 |
$174.06
|
|
Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets
|
$217.65 |
$217.65 |
$217.65 |
$855.45
|
|
Infectious agent nucleic acid amplified probe hsv-1
|
$56.40 |
$56.40 |
$56.40 |
$181.35
|
|
Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus
|
$66.74 |
$66.74 |
$66.74 |
$148.80
|
|
Infectious agent nucleic acid amplified probe neisseria gonorrhoeae
|
$36.66 |
$36.66 |
$36.66 |
$134.55
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/covid-19
|
$61.10 |
$61.10 |
$61.10 |
$109.18
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv
|
$203.51 |
$203.51 |
$203.51 |
$211.09
|
|
Infectious agent nucleic acid amplified probe streptococcus group a
|
$32.90 |
$32.90 |
$32.90 |
$96.00
|
|
Infectious agent nucleic acid amplified probe trichomonas vaginalis
|
$91.18 |
$91.18 |
$91.18 |
$135.00
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 6-11 targets
|
$123.61 |
$123.61 |
$123.61 |
$515.40
|
|
Infectious agent nucleic acid quantification bk virus
|
$25.85 |
$25.85 |
$25.85 |
$300.00
|
|
Infectious agent nucleic acid quantification hepatitis b
|
$39.48 |
$39.48 |
$39.48 |
$242.50
|
|
Infectious agent nucleic acid quantification hepatitis c
|
$47.94 |
$47.94 |
$47.94 |
$280.20
|
|
Infectious agent nucleic acid quantification hiv-1
|
$88.83 |
$88.83 |
$88.83 |
$381.55
|
|
Influenza dna amp prob addl
|
$13.63 |
$13.63 |
$13.63 |
$75.80
|
|
Initiation & management bipap/cpap initial day
|
$268.84 |
$268.84 |
$268.84 |
$608.40
|
|
Inj, bupivacaine liposome
|
$3.24 |
$3.24 |
$3.24 |
$3.22
|
|
Inj calcitriol per 0.1 mcg
|
$9.79 |
$9.79 |
$9.79 |
$11.21
|
|
Inj cntr knee arthro incl ct/mri
|
$709.23 |
$709.23 |
$709.23 |
$505.20
|
|
Inj daptomycin (xellia)
|
$0.57 |
$0.57 |
$0.57 |
$0.04
|
|
Injection arthrography hip without anesthesia (both sides)
|
$1,023.19 |
$1,023.19 |
$1,023.19 |
$609.20
|
|
Injection, cangrelor
|
$454.15 |
$454.15 |
$454.15 |
$1,305.72
|
|
Injection during cath supravalvular aortography
|
$560.71 |
$560.71 |
$560.71 |
$1,604.20
|
|
Injection epidural blood patch or clot
|
$732.26 |
$732.26 |
$732.26 |
$1,470.60
|
|
Injection for ureter x-ray
|
$593.14 |
$593.14 |
$593.14 |
$349.55
|
|
Injection jugular
|
$527.34 |
$527.34 |
$527.34 |
$1,134.12
|
|
Injection,onabotulinumtoxina
|
$5.68 |
$5.68 |
$5.68 |
$12.88
|
|
Injection sacroiliac joint anesthesia/steroid without or w/arthrography (both sides)
|
$868.09 |
$868.09 |
$868.09 |
$1,066.24
|
|
Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides)
|
$732.26 |
$732.26 |
$732.26 |
$1,017.28
|
|
Injection(s) anesthetic agent(s)/steroid lumb/s transforaminal epidural w/img single (both sides)
|
$934.83 |
$934.83 |
$934.83 |
$2,251.00
|
|
Injection(s) epidural/subarachnoid cervical/thoracic needle placement w/guidance
|
$825.32 |
$825.32 |
$825.32 |
$1,842.00
|
|
Injection(s) epidural/subarachnoid lumbar/sacral needle placement w/guidance
|
$825.32 |
$825.32 |
$825.32 |
$1,758.12
|
|
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push new substance/drug
|
$104.81 |
$104.81 |
$104.81 |
$153.60
|
|
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug
|
$104.81 |
$104.81 |
$104.81 |
$150.00
|
|
Injection therapeutic/prophylactic/diagnostic IV push single/initial substance/drug
|
$111.86 |
$111.86 |
$111.86 |
$303.60
|
|
Injection therapeutic/prophylactic/diagnostic subcutaneous/im
|
$83.19 |
$83.19 |
$83.19 |
$130.19
|
|
Inj hrt cath w/s&i nonsel p-art angrp
|
$560.71 |
$560.71 |
$560.71 |
$1,646.97
|
|
Inj hrt cath w/s&i sel right vent
|
$560.71 |
$560.71 |
$560.71 |
$1,352.65
|
|
Inj ivig privigen 500 mg
|
$74.71 |
$74.71 |
$74.71 |
$6,144.00
|
|
Inj mepivacaine hcl/10 ml
|
$21.02 |
$21.02 |
$21.02 |
$28.41
|
|
Inj proc myelogram lumbar
|
$1,331.98 |
$1,331.98 |
$1,331.98 |
$1,026.35
|
|
Inj proc sialogram
|
$675.39 |
$675.39 |
$675.39 |
$419.34
|
|
Inj testosterone cypionate
|
$27.26 |
$27.26 |
$27.26 |
$78.79
|
|
Inj w/fluor eval cv device
|
$237.35 |
$237.35 |
$237.35 |
$573.00
|
|
Insertion catheter bladder non indwelling
|
$102.93 |
$102.93 |
$102.93 |
$230.40
|
|
Insertion of new/replacement ppm w/transvenous electrode(s) atrial & ventricular
|
$18,620.46 |
$18,620.46 |
$18,620.46 |
$14,777.24
|